Mobile Phone Apps to Promote Weight Loss and Increase Physical Activity: A Systematic Review and Meta-Analysis.
Mobile Phone Apps to Promote Weight Loss and Increase Physical Activity: A Systematic Review and Meta-Analysis.
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DOI：
10.2196/jmir.4836
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发表时间：
2015-11-10
影响因子：
7.4
通讯作者：
Montaña-Carreras X
中科院分区：
文献类型：
--
作者：
Flores Mateo G;Granado-Font E;Ferré-Grau C;Montaña-Carreras X
据我们所知，迄今为止还没有荟萃分析评估移动的手机应用程序促进减肥和增加体力活动的有效性。对研究进行系统综述和荟萃分析，以比较移动的手机应用程序与其他促进减肥和增加体力活动的方法的疗效。我们对通过检索PubMed、护理和相关健康文献累积索引（CINAHL）和Scopus从成立到2015年8月确定的相关研究进行了系统综述和荟萃分析。研究小组的两名成员（EG-F，GF-M）独立筛选研究的纳入标准和提取的数据。我们纳入了所有对照研究，这些研究评估了移动的手机应用程序干预与体重相关的健康指标（即体重、体重指数或腰围）或体力活动结果。使用随机效应模型，将干预组与对照组比较的净变化估计值汇总到各个研究中。我们在本系统性综述和荟萃分析中纳入了12篇文章。与对照组相比，使用移动的手机应用程序与体重（kg）和体重指数（kg/m2）的显著变化相关，分别为-1.04 kg（95% CI -1.75至-0.34; I2 = 41%）和-0.43 kg/m2（95% CI -0.74至-0.13; I2 = 50%）。此外，两组之间的体力活动无显著差异（标准化平均差异0.40，95% CI -0.07至0.87; I2 = 93%）。这些发现在敏感性分析中非常可靠。未发现发表偏倚。这项研究的证据表明，基于移动的手机应用程序的干预可能是减肥的有用工具。
To our knowledge, no meta-analysis to date has assessed the efficacy of mobile phone apps to promote weight loss and increase physical activity. To perform a systematic review and meta-analysis of studies to compare the efficacy of mobile phone apps compared with other approaches to promote weight loss and increase physical activity. We conducted a systematic review and meta-analysis of relevant studies identified by a search of PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Scopus from their inception through to August 2015. Two members of the study team (EG-F, GF-M) independently screened studies for inclusion criteria and extracted data. We included all controlled studies that assessed a mobile phone app intervention with weight-related health measures (ie, body weight, body mass index, or waist circumference) or physical activity outcomes. Net change estimates comparing the intervention group with the control group were pooled across studies using random-effects models. We included 12 articles in this systematic review and meta-analysis. Compared with the control group, use of a mobile phone app was associated with significant changes in body weight (kg) and body mass index (kg/m2) of -1.04 kg (95% CI -1.75 to -0.34; I2 = 41%) and -0.43 kg/m2 (95% CI -0.74 to -0.13; I2 = 50%), respectively. Moreover, a nonsignificant difference in physical activity was observed between the two groups (standardized mean difference 0.40, 95% CI -0.07 to 0.87; I2 = 93%). These findings were remarkably robust in the sensitivity analysis. No publication bias was shown. Evidence from this study shows that mobile phone app-based interventions may be useful tools for weight loss.